Traditional Chinese medicine often treats spleen and stomach diseases through syndrome differentiation and classification. Generally speaking, you can learn about its specific dialectical classification method from the following content. Spleen deficiency: It is caused by weak body, long-term illness or lack of nourishment, exogenous cold evil, internal injury from raw and cold food, weak middle yang and endogenous cold. Symptoms include dull pain in the stomach, vomiting of clear water, sallow complexion, fatigue, and even vomiting blood and black stools. The tongue is pale and fat, the tongue coating is white and greasy, and the pulse is deep, thready and weak. Treatment is aimed at strengthening the spleen and replenishing Qi, regulating blood and calming the mind. The prescription is a modified version of Guipi Decoction, which uses Codonopsis pilosula, Astragalus membranaceus, Atractylodes macrocephala, White Peony Root, Angelica sinensis, Poria, Ziziphus jujuba seed, Amomum villosum, Fuluogan, Radix Sanguisorbae, Sophora japonica flower, and Licorice root, etc. Liver fire attacks the stomach: It is caused by anger damaging the liver, poor qi discharge, stagnation of qi flow, which turns into fire over time, goes against the stomach qi, and fails to harmonize and descend. Symptoms include vomiting bright red or brown blood, tarry stools, belching and nausea, abdominal distension and fullness, and irritability. The tongue is red, with little coating, and the pulse is stringy and rapid. The treatment is to clear the liver and reduce fire, harmonize the stomach and stop bleeding. The prescription is a modified version of Chaihu Shugan Powder, which uses bupleurum, white peony root, fructus aurantii, tangerine peel, cyperus rotundus, toosendan fruit, curcuma, scutellaria baicalensis, gardenia, toosendan fruit, gentian, evodia rutaecarpa, herbaceous agrimony, and liquorice, etc. Blood stasis blocking collaterals: It is caused by long-term stomach pain, repeated attacks, unfavorable Qi movement, damage to the stomach meridian, blood stasis, and obstruction. Symptoms include stomach pain that is resistant to pressure, pain that does not move, like a needle prick, especially at night, or pain that spreads to the chest and back, vomiting blood and bloody stools. The tongue is dark purple or has ecchymosis, and the pulse is stringy and astringent. The treatment is suitable for promoting blood circulation, removing blood stasis, regulating qi and relieving pain. The prescription is Jinlingzi Powder with added ingredients, including Toosendan fruit, Corydalis yanhusuo, Salvia miltiorrhiza, Aconiti lobata, raw Pollen Typha, red peony root, Magnolia officinalis, Citron, processed myrrh, processed frankincense, licorice, etc. |
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